Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Columbia/hca John Randolph, Inc. (NPI 1285671248)

Field	Value
Entity Type	Organization
Organization	Columbia/hca John Randolph, Inc.
Address	411 W Randolph Rd
City	Hopewell
State	VA
ZIP	23860
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$49.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-focused billing entity, reporting $49.1M in lifetime Medicaid revenue and an NPI enumerated date of 2006-05-31 (~20 years ago). The absence of Medicare activity makes Medicaid the dominant and de facto single public payer for the facility’s billed services, so analyses of utilization and competitive position should be Medicaid-centric.

Revenue is highly concentrated in a small set of emergency department E/M codes: the provider’s top three Medicaid codes (99283, 99284, 99282) together account for 69.9% of total Medicaid revenue. Individually those codes are 99283: $20.6M revenue (44.4%), 99284: $7.9M revenue (17.0%), and 99282: $3.9M revenue (8.5%), indicating the bulk of Medicaid dollars flow from ED visits.

The code mix indicates an ED-centric operating profile with a tilt toward low-to-moderate complexity visits: 99283 (low medical decision making) is the single largest revenue driver at $20.6M (44.4%), followed by 99284 (moderate) at $7.9M (17.0%), while the high-complexity ED code 99285 contributes a modest $1.5M (3.3%). Presence of hospital observation G0378 ($771.6K, 1.7%) and substantial imaging codes suggests the hospital supports ED throughput with short-stay observation and diagnostic imaging capacity.

For 99283 the provider is a statewide outlier: it ranks #7 of 626 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), signaling a dominant role in low-complexity ED visits in its market. That placement implies the hospital is a primary destination for Medicaid patients presenting with acute but lower-complexity emergencies.

99284 and 99282 show different competitive signals: 99284 ranks #31 of 620 providers in-state (95th percentile; typical, unremarkable volume for this code) while 99282 ranks #7 of 139 providers in-state (96th percentile; notably above typical state volume for this code). Together these ranks indicate strong volume across the lower-to-moderate ED acuity spectrum, with particularly elevated activity at the 99282/99283 levels compared with peers.

Imaging and procedure lines provide nontrivial revenue consistent with high ED utilization: CT abdomen/pelvis with contrast 74177 reports $1.9M (4.2%, rank #26 of 178, 86th percentile) and CT head 70450 reports $1.9M (4.0%, rank #34 of 174, 81th percentile). Additional diagnostic throughput is shown by CTA chest 71275 ($979.3K, 2.1%) and upper endoscopy biopsy 43239 ($742K, 1.6%), indicating on-site advanced imaging and endoscopy services supporting the ED case mix.

Infusion and ancillary services contribute meaningful but smaller revenue lines, consistent with an acute-care ED population requiring IV therapy and lab services: IV fluids hourly 96361 is $1.8M (3.9%), catheter IV 96360 is $242K (0.5%), and initial infusion 96365 is $295.9K (0.6%). COVID testing U0003 is $427.6K (0.9%) and ranks #9 of 111 in-state (93th percentile), while common lab panels and drug screens (e.g., 80053 at $110K and 80307 at $339.5K) further support a high-volume ED/acute care workflow.

The provider’s longstanding enumeration (NPI 2006-05-31, ~20 years) combined with the ED-centered revenue profile and the status as an extreme outlier on 99283 suggests entrenched market positioning for Medicaid emergency care in its service area. Analysts should treat this facility as a major Medicaid ED provider with concentrated revenue risk tied to ED utilization patterns and related diagnostic services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

221 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	122,530	$170	$20.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	49,090	$160	$7.9M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	23,880	$170	$3.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10,610	$180	$1.9M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	10,450	$180	$1.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6,680	$270	$1.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	9,450	$160	$1.5M
99281	The provider sees a patient for the lowest level emergency department visit.	5,790	$170	$1M
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	4,330	$230	$979.3K
G0378	Hospital observation service, per hour	6,270	$120	$771.6K

Showing 1–10 of 221

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Columbia/hca John Randolph, Inc. — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

221 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	56	90	9,030	$280	$3.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	84	340	160	$130	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	26	80	3,650	$160	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	31	620	70	$120	$1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	26	180	2,950	$140	$783.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	34	170	3,390	$100	$658.8K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	72	80	1,510	$220	$512K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	58	110	2,780	$110	$471.1K

Showing 1–10 of 221

Related Providers

Other providers that share a Tax Identification Number (TIN) with Columbia/hca John Randolph, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chippenham & Johnston-willis Hospitals Inc	VA	General Acute Care Hospital	$0	$103.7M
Hca Health Services Of Virginia Inc	VA	General Acute Care Hospital	$0	$64.5M
El Paso Healthcare System Ltd	TX	General Acute Care Hospital	$0	$38.5M
Spotsylvania Medical Center Inc	VA	General Acute Care Hospital	$0	$31M
Mission Health Community Multispecialty Providers, LLC	NC	Internal Medicine Physician	$0	$24.1M
Columbia Medical Center Of Arlington Subsidiary LP	TX	General Acute Care Hospital	$0	$21.8M
Columbia Hospital At Medical City Dallas Subsidiary LP	TX	General Acute Care Hospital	$0	$21.5M
Lewis Gale Physicians LLC	VA	Internal Medicine Physician	$0	$20.6M
Reston Hospital Center LLC	VA	General Acute Care Hospital	$0	$14.9M
Hca Health Services Of Florida, Inc.	FL	General Acute Care Hospital	$0	$11.4M

Nearby Providers

Other providers in the same ZIP code as Columbia/hca John Randolph, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Second Chances Comprehensive Services	VA	In Home Supportive Care Agency	$0	$29.8M
Trucare Homes, LLC	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.6M
Tlc Home Health, Inc.	VA	Nursing Care Agency	$0	$10M
David Neff	VA	Family Medicine Physician	$274.6K	$0
Omar Minai	VA	Pulmonary Disease Physician	$259.6K	$0
Agha Haider	VA	Pulmonary Disease Physician	$211.8K	$0
Alexandra Leyba	VA	Family Nurse Practitioner	$184K	$0
Zahid Mughal	VA	Pulmonary Disease Physician	$173.9K	$0
Manu Gadani	VA	Internal Medicine Physician	$87.3K	$0
Nayeem Karim	VA	Neurology Physician	$53K	$0

Columbia/hca John Randolph, Inc. — Billing Profile & Reimbursement Data

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Columbia/hca John Randolph, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References